CONCEPTS FOR NURSING
PRACTICE
4TH EDITION
• AUTHOR(S)JEAN FORET
GIDDENS
TEST BANK
Question 1
Reference: Development Concept — Infant Development &
Nursing Assessment
Stem: A nurse is performing a well-baby check on a 6-month-
old infant. The parent reports the infant rolls from back to front,
laughs aloud, and brings objects to their mouth. The infant is
breastfed. Which finding would cause the nurse the greatest
concern regarding developmental delay?
Options:
,A. The infant has a steady, non-purposeful head lag when pulled
to sit.
B. The infant does not turn their head toward a soft rattle
shaken to the side.
C. The infant exhibits a strong Moro reflex when startled.
D. The infant does not yet sit independently without support.
Correct Answer: B
Rationales:
• Correct: By 6 months, an infant should turn their head to
localize sounds. Failure to do so may indicate a sensory or
neurological delay and requires further evaluation. This is a
more significant concern than motor skill variations at this
age.
• Incorrect A: While some head lag may persist, a steady
head lag is atypical by 6 months and should be monitored,
but sensory responses are a higher initial priority for
screening.
• Incorrect C: The Moro reflex typically disappears around 4-
6 months. Its presence at 6 months is notable but not the
most urgent concern compared to a lack of auditory
response.
• Incorrect D: Independent sitting is an emerging 6-month
skill, often achieved with support. Not achieving it
independently is not yet a definitive sign of delay.
Teaching Point: Prioritize assessment of sensory responses
(hearing, vision) and social engagement (smiling, cooing)
, as key early indicators of healthy infant development.
Citation: Giddens, J. F. (2025). Concepts for Nursing
Practice (4th ed.). Development Concept.
Question 2
Reference: Development Concept — Toddler Safety & Injury
Prevention
Stem: The nurse is educating the parents of a 16-month-old
toddler about home safety. The toddler is curious, walks well,
and is beginning to climb. Based on the toddler's
developmental stage, which parent statement indicates an
understanding of the highest priority safety intervention?
Options:
A. "We will switch from a crib to a toddler bed with safety rails."
B. "We have installed safety locks on all cabinets below the
kitchen sink."
C. "We make sure to cut his grapes into small pieces to prevent
choking."
D. "We always use a rear-facing car seat in the back seat of the
car."
Correct Answer: B
Rationales:
• Correct: Toddlers are in Erikson's stage of autonomy vs.
shame/doubt, characterized by exploration and mobility.
They are at peak risk for accidental ingestion of poisonous
substances. Securing cabinets containing cleaners or
chemicals is the highest priority injury prevention strategy.
, • Incorrect A: While transitioning to a bed is age-
appropriate, it is not the highest priority safety concern
compared to poisoning.
• Incorrect C: Preventing choking is important, but poisoning
is a more common and severe cause of injury and death in
this age group.
• Incorrect D: Proper car seat use is critical but represents a
constant safety practice, not a new, developmentally-
specific intervention for a climbing toddler.
Teaching Point: The developmental theme for toddlers
is autonomy and exploration, making poisoning and falls
the leading safety priorities.
Citation: Giddens, J. F. (2025). Concepts for Nursing
Practice (4th ed.). Development Concept.
Question 3
Reference: Development Concept — Preschooler
Understanding & Preparation
Stem: A 4-year-old child is scheduled for a tonsillectomy. Using
knowledge of cognitive development, which approach by the
nurse would be most effective in preparing the child for the
procedure?
Options:
A. Provide a detailed, step-by-step explanation of the surgical
technique using a doll.
B. Explain the procedure to the parents in front of the child so
they can later explain it.
PRACTICE
4TH EDITION
• AUTHOR(S)JEAN FORET
GIDDENS
TEST BANK
Question 1
Reference: Development Concept — Infant Development &
Nursing Assessment
Stem: A nurse is performing a well-baby check on a 6-month-
old infant. The parent reports the infant rolls from back to front,
laughs aloud, and brings objects to their mouth. The infant is
breastfed. Which finding would cause the nurse the greatest
concern regarding developmental delay?
Options:
,A. The infant has a steady, non-purposeful head lag when pulled
to sit.
B. The infant does not turn their head toward a soft rattle
shaken to the side.
C. The infant exhibits a strong Moro reflex when startled.
D. The infant does not yet sit independently without support.
Correct Answer: B
Rationales:
• Correct: By 6 months, an infant should turn their head to
localize sounds. Failure to do so may indicate a sensory or
neurological delay and requires further evaluation. This is a
more significant concern than motor skill variations at this
age.
• Incorrect A: While some head lag may persist, a steady
head lag is atypical by 6 months and should be monitored,
but sensory responses are a higher initial priority for
screening.
• Incorrect C: The Moro reflex typically disappears around 4-
6 months. Its presence at 6 months is notable but not the
most urgent concern compared to a lack of auditory
response.
• Incorrect D: Independent sitting is an emerging 6-month
skill, often achieved with support. Not achieving it
independently is not yet a definitive sign of delay.
Teaching Point: Prioritize assessment of sensory responses
(hearing, vision) and social engagement (smiling, cooing)
, as key early indicators of healthy infant development.
Citation: Giddens, J. F. (2025). Concepts for Nursing
Practice (4th ed.). Development Concept.
Question 2
Reference: Development Concept — Toddler Safety & Injury
Prevention
Stem: The nurse is educating the parents of a 16-month-old
toddler about home safety. The toddler is curious, walks well,
and is beginning to climb. Based on the toddler's
developmental stage, which parent statement indicates an
understanding of the highest priority safety intervention?
Options:
A. "We will switch from a crib to a toddler bed with safety rails."
B. "We have installed safety locks on all cabinets below the
kitchen sink."
C. "We make sure to cut his grapes into small pieces to prevent
choking."
D. "We always use a rear-facing car seat in the back seat of the
car."
Correct Answer: B
Rationales:
• Correct: Toddlers are in Erikson's stage of autonomy vs.
shame/doubt, characterized by exploration and mobility.
They are at peak risk for accidental ingestion of poisonous
substances. Securing cabinets containing cleaners or
chemicals is the highest priority injury prevention strategy.
, • Incorrect A: While transitioning to a bed is age-
appropriate, it is not the highest priority safety concern
compared to poisoning.
• Incorrect C: Preventing choking is important, but poisoning
is a more common and severe cause of injury and death in
this age group.
• Incorrect D: Proper car seat use is critical but represents a
constant safety practice, not a new, developmentally-
specific intervention for a climbing toddler.
Teaching Point: The developmental theme for toddlers
is autonomy and exploration, making poisoning and falls
the leading safety priorities.
Citation: Giddens, J. F. (2025). Concepts for Nursing
Practice (4th ed.). Development Concept.
Question 3
Reference: Development Concept — Preschooler
Understanding & Preparation
Stem: A 4-year-old child is scheduled for a tonsillectomy. Using
knowledge of cognitive development, which approach by the
nurse would be most effective in preparing the child for the
procedure?
Options:
A. Provide a detailed, step-by-step explanation of the surgical
technique using a doll.
B. Explain the procedure to the parents in front of the child so
they can later explain it.
